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29-Caudal Regression Syndrome
Clinical history
Malformed genitals, anal atresia and kidneys
C
CONGENITAL DISEASES, MALDEVELOPMENT, MIGRATIONAL DISORDERS, VARIANTS
I
BACTERIA, RICKETTSIA, FUNGUS,VIRUS, PARASITES, PRION
M
METABOLIC, IMMUNE, GLIOSIS, SCLEROSIS, DEGENERATION
T
CONTUSION, HEMATOMAS SUBDURAL, EPIDURAL, TRAUMA COMPLICATIONS,
RADIOTERHAPY, CHEMOTHERAPHY
V
VASCULAR MALFORMATIONS ( AVM, VENOUS ANOMALY, CAPILLARY, CAVERNOUS ),
ANEURYSMS,ANGIOPATHY, INTRACEREBRAL HEMORRHAGE, INFARCT, THROMBOSIS
DISSECTION
N
PRIMARY
SECONDARY
Diagnosis ?
a.Ventricus terminalis
b.Quiste aracnoideo
c.Spine malformation
d.Low thetering cord
e.Fixed cord
C
CONGENITAL DISEASES, MALDEVELOPMENT, MIGRATIONAL DISORDERS, VARIANTS
I
BACTERIA, RICKETTSIA, FUNGUS,VIRUS, PARASITES, PRION
M
METABOLIC, IMMUNE, GLIOSIS, SCLEROSIS, DEGENERATION
T
CONTUSION, HEMATOMAS SUBDURAL, EPIDURAL, TRAUMA COMPLICATIONS,
RADIOTERHAPY, CHEMOTHERAPHY
V
VASCULAR MALFORMATIONS ( AVM, VENOUS ANOMALY, CAPILLARY, CAVERNOUS ),
ANEURYSMS,ANGIOPATHY, INTRACEREBRAL HEMORRHAGE, INFARCT, THROMBOSIS
DISSECTION
N
PRIMARY
SECONDARY
Diagnosis
a.Ventricus terminalis
b.Quiste aracnoideo
c.Spine malformation
d.Low thetering cord
e.Fixed cord
• Caudal Regression Syndrome
• Absent sacral vertebrae, anal atresia, malformed
genitals, renal abnormalities
• Incidence: 1:7500 births; 16% of these children have
diabetic mothers.
• Imaging: if symptoms are present, 95% of patients have
conus abnormalities (truncated tip, sparse cauda
equina).
• Types:
– With truncated & high lying conus
– With truncated conus that is inferiorly located & tethered
Caudal Regression Syndrome

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Caudal Regression Syndrome

  • 2. Clinical history Malformed genitals, anal atresia and kidneys
  • 3.
  • 4. C CONGENITAL DISEASES, MALDEVELOPMENT, MIGRATIONAL DISORDERS, VARIANTS I BACTERIA, RICKETTSIA, FUNGUS,VIRUS, PARASITES, PRION M METABOLIC, IMMUNE, GLIOSIS, SCLEROSIS, DEGENERATION T CONTUSION, HEMATOMAS SUBDURAL, EPIDURAL, TRAUMA COMPLICATIONS, RADIOTERHAPY, CHEMOTHERAPHY V VASCULAR MALFORMATIONS ( AVM, VENOUS ANOMALY, CAPILLARY, CAVERNOUS ), ANEURYSMS,ANGIOPATHY, INTRACEREBRAL HEMORRHAGE, INFARCT, THROMBOSIS DISSECTION N PRIMARY SECONDARY
  • 5. Diagnosis ? a.Ventricus terminalis b.Quiste aracnoideo c.Spine malformation d.Low thetering cord e.Fixed cord
  • 6. C CONGENITAL DISEASES, MALDEVELOPMENT, MIGRATIONAL DISORDERS, VARIANTS I BACTERIA, RICKETTSIA, FUNGUS,VIRUS, PARASITES, PRION M METABOLIC, IMMUNE, GLIOSIS, SCLEROSIS, DEGENERATION T CONTUSION, HEMATOMAS SUBDURAL, EPIDURAL, TRAUMA COMPLICATIONS, RADIOTERHAPY, CHEMOTHERAPHY V VASCULAR MALFORMATIONS ( AVM, VENOUS ANOMALY, CAPILLARY, CAVERNOUS ), ANEURYSMS,ANGIOPATHY, INTRACEREBRAL HEMORRHAGE, INFARCT, THROMBOSIS DISSECTION N PRIMARY SECONDARY
  • 7. Diagnosis a.Ventricus terminalis b.Quiste aracnoideo c.Spine malformation d.Low thetering cord e.Fixed cord
  • 8. • Caudal Regression Syndrome • Absent sacral vertebrae, anal atresia, malformed genitals, renal abnormalities • Incidence: 1:7500 births; 16% of these children have diabetic mothers. • Imaging: if symptoms are present, 95% of patients have conus abnormalities (truncated tip, sparse cauda equina). • Types: – With truncated & high lying conus – With truncated conus that is inferiorly located & tethered